1. Ultrasound of the Liver
Wendy Blount, DVM
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2. Image Views - Liver Sagittal Views (6 – 3 right, 1 middle, 2 left)
Right lateral cranial – right liver, diaphragm, maybe gall bladder
Right medial – gall bladder, diaphragm
Porta Hepatis (midline) – common bile duct, portal vein, caudal vena cava
Right lateral caudal – caudate lobe and right kidney
Left medial – aorta, L hepatic vein, L portal vein, stomach
Left lateral – liver, head of spleen, maybe stomach
Landmarks in blue
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3. Image Views - Liver Sagittal Views (6 – 3 right, 1 middle, 2 left)
Right lateral cranial – right liver, diaphragm, maybe gall bladder
Right medial – gall bladder, diaphragm
Porta Hepatis (midline) – common bile duct, portal vein, caudal vena cava
Right lateral caudal – caudate lobe and right kidney
Left medial – aorta, L hepatic vein, L portal vein, stomach
Left lateral – liver, head of spleen, maybe stomach
Landmarks in blue 2 3 1 5 6 4
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4. Image Views - Liver Transverse Views (3-6) Cranial – liver, diaphragm
Middle – gall bladder, portal vein
Caudal – caudal vena cava, hepatic vein, maybe gall bladder
(Advanced – intercostal port hepatis)
May need separate R and L views of each in the large dog
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5. Image Views - Liver Transverse Views (3-6) Cranial – liver, diaphragm
Middle – gall bladder, portal vein
Caudal – caudal vena cava, hepatic vein, maybe gall bladder
(Advanced – intercostal port hepatis)
May need separate R and L views of each in the large dog 1
(4) 2 3
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6. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

7. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

8. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

9. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

10. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

11. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

12. Scanning the Liver Sagittal Views Right Lateral Cranial Right Liver
Diaphragm
Maybe Gall Bladder

13. Scanning
the Liver
Sagittal
Views
Right Medial
Gall Bladder
Diaphragm

14. Scanning
the Liver
Sagittal
Views
Right Medial
Gall Bladder
Diaphragm

15. Scanning
the Liver
Sagittal
Views
Right Medial
Gall Bladder
Diaphragm

16. Scanning
the Liver
Sagittal
Views
Right Medial
Gall Bladder
Diaphragm

17. Scanning the Liver Sagittal Views Right Medial Gall Bladder Diaphragm
Far field enhancement
Mirror image

18. Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct
Portal Vein
Caudal Vena Cava

19. Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct
Portal Vein
Caudal Vena Cava

20. Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct
Portal Vein
Caudal Vena Cava

21. Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct
Portal Vein
Caudal Vena Cava

22. Scanning the Liver Sagittal Views Porta Hepatis Common Bile Duct
Portal Vein
Caudal Vena Cava
stomach

23. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

24. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

25. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

26. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

27. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

28. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

29. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

30. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

31. Scanning the Liver Sagittal Views Right Lateral Caudal Caudate Lobe
Right Kidney

32. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

33. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

34. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

35. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

36. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

37. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

38. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

39. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

40. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

41. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

42. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

43. Scanning the Liver Sagittal Views Left Medial Aorta L Hepatic Vein
L Portal Vein
Stomach

44. Scanning the Liver Sagittal Views Left Lateral Left Liver
Head of Spleen

45. Scanning the Liver Sagittal Views Left Lateral Left Liver
Head of Spleen

46. Scanning the Liver Sagittal Views Left Lateral Left Liver
Head of Spleen

47. Scanning the Liver Sagittal Views Left Lateral Left Liver
Head of Spleen

48. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

49. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

50. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

51. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

52. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

53. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

54. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

55. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

56. Scanning the Liver Transverse Views Cranial Right Liver Left Liver
Diaphragm

57. Scanning
the Liver
Transverse
Views
Middle
Gall Bladder
Portal Vein

58. Scanning
the Liver
Transverse
Views
Middle
Gall Bladder
Portal Vein

59. Scanning
the Liver
Transverse
Views
Middle
Gall Bladder
Portal Vein

60. Scanning the Liver Transverse Views Caudal Caudal Vena Cava
Hepatic Vein
Maybe Gall Bladder

61. Scanning the Liver Transverse Views Caudal Caudal Vena Cava
Hepatic Vein
Maybe Gall Bladder

62. Scanning the Liver Transverse Views Caudal Caudal Vena Cava
Hepatic Vein
Maybe Gall Bladder

63. Tips – Liver Ultrasound
Some prefer two long axis views of the gall bladder
One fundus and one neck
If you are having trouble locating the gall bladder
Try the right intercostal approach
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64. Acknowledgments Stephanie Lisciandro, ACVIM (Internal Medicine)
Chapter 3: Focused or COAST3 – Liver and Gall Bladder Focused Ultrasound Techniques for the Small Animal Practitioner Editor Greg Lisciandro
Bob Cole, ACVR
Auburn University
The Academy of Veterinary Imaging
2409 Avenue J, Suite C Arlington, TX (800)

65. Acknowledgments John Mattoon, Danelle Auld, Thomas Nyland
Chapter 4 – Abdominal Ultrasound Scanning Techniques
Small Animal Diagnostic Ultrasound
Editor, Nyland & Mattoon – 3rd edition 2014
Thomas Nyland, John Mattoon, Eric Herrgesell, Erik Wisner
Chapter 6 – Liver
Small Animal Diagnostic Ultrasound
Editor, Nyland & Mattoon – 3rd edition 2014
Oklahoma State University
Small Animal Cases

66. Acknowledgments University of Missouri-Columbia Liver-Spleen-Pancreas
John P. Graham, MVB, MSc, DVR, MRCVS
Diplomate, ECVDI, Diplomate, ACVR Diagnostic Imaging in Dogs and Cats Nestle Purina – Clinical Handbook Series